Targeted child psychiatric services: a new model of pediatric primary clinician--child psychiatry collaborative care
Department of Pediatrics; Meyers Primary Care Institute; Department of Psychiatry
Medical Subject Headings
Adolescent; Child; Child Psychiatry; Humans; Interprofessional Relations; Mental Disorders; Mental Health Services; Primary Health Care; Program Evaluation; Regression Analysis; Research Design
Health Services Research | Pediatrics | Primary Care
Between 15% and 25% of children and adolescents seen in pediatric primary care have a behavioral health disorder with significant psychopathology, high functional impairment, and frequent psychiatric diagnostic comorbidity. Because child psychiatry services are frequently unavailable, primary care clinicians are frequently left managing these children without access to child psychiatry consultation. We describe Targeted Child Psychiatric Services (TCPS), a new model of pediatric primary clinician-child psychiatry collaborative care, and describe program utilization and characteristics of children referred over the first 18 months of the program using a retrospective chart review. The TCPS model can serve a large number of pediatric primary care practices and provide collaborative help with the evaluation and treatment of complex attention deficit hyperactivity disorder, depression, anxiety disorders, and pediatric psychopharmacology.
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Citation: Connor DF, McLaughlin TJ, Jeffers-Terry M, O’Brien WH, Stille CJ, Young LM, Antonelli RC. Targeted child psychiatric services: A new model of pediatric primary clinician-child psychiatry collaborative care. Clinical Pediatrics 2006;45:423-34. doi: 10.1177/0009922806289617